de Man Lapidoth Joakim, Ghaderi Ata, Norring Claes
National Resource Centre for Eating Disorders (NAT), Sweden.
Eat Behav. 2006 Jan;7(1):15-26. doi: 10.1016/j.eatbeh.2005.05.006. Epub 2005 Jun 13.
The aim of this cross-sectional descriptive study of 194 Swedish men and women seeking non-surgical weight-loss treatment was to investigate the presence of eating disorders and binge eating symptoms and to compare these two groups of patients with a group without eating disorder- or binge eating symptoms. The groups were compared in regard to co-morbid psychopathology, Health Related Quality of Life (HRQL) and anthropometric data. Of the total sample, 9.8% fulfilled criteria for any eating disorder. An additional 7.2% indicated binge eating symptoms without having an eating disorder. The three groups were significantly different in regard to psychopathology scales and most HRQL items. Eating disorders and binge eating symptoms are common among patients seeking non-surgical weight-loss treatments in Sweden and both groups showed elevated levels of co-morbid psychopathology and lower HRQL compared to patients without disordered eating. These findings point to the importance of assessing the full range of eating disorder symptoms and disorders as well as HRQL and co-morbid psychopathology before weight-loss treatment, as these factors might affect treatment outcome.
这项横断面描述性研究针对194名寻求非手术减肥治疗的瑞典男性和女性,旨在调查饮食失调和暴饮暴食症状的存在情况,并将这两组患者与没有饮食失调或暴饮暴食症状的一组进行比较。对这几组在共病精神病理学、健康相关生活质量(HRQL)和人体测量数据方面进行了比较。在总样本中,9.8%符合任何饮食失调的标准。另外7.2%表示有暴饮暴食症状但未患饮食失调症。这三组在精神病理学量表和大多数HRQL项目方面存在显著差异。在瑞典,饮食失调和暴饮暴食症状在寻求非手术减肥治疗的患者中很常见,与没有饮食失调的患者相比,这两组的共病精神病理学水平都有所升高,HRQL较低。这些发现表明,在减肥治疗前评估饮食失调症状和疾病的全部范围以及HRQL和共病精神病理学很重要,因为这些因素可能会影响治疗结果。